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Wisconsin rates for HCPCS 61686

Intracranial Arven Malfrmj Infratentrl Cmpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,791.22 / $8,446.32 / $15,053.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.22 / $3,999.04 / $14,459.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,109.81 / $10,856.33 / $30,666.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,562.03 / $12,342.56 / $19,908.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,507.83 / $15,895.26 / $18,062.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,791.22 / $4,961.68 / $8,070.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $4,821.00 / $8,205.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,930.42 / $11,968.59 / $31,307.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.41 / $2,834.13 / $9,117.76
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,791.22 / $4,961.68 / $8,070.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,866.00 / $13,640.00 / $18,012.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82,115.20 / $82,115.20 / $82,115.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,985.67 / $20,288.90 / $31,492.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,290.52 / $14,290.52 / $14,290.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,788.15 / $23,801.64 / $23,801.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,869.34 / $11,968.59 / $20,506.40